Krueger A D, Lee J Y, Yang P C, Papaioannou S E, Walsh G M
Hypertension. 1986 May;8(5):372-8. doi: 10.1161/01.hyp.8.5.372.
The kidneys of adult male spontaneously hypertensive rats (SHR) were denervated, and systemic and regional blood flows were measured 3 to 5 hours or 5 days after denervation. Arterial pressure was reduced 20 to 27% in denervated SHR during both periods compared with that in sham-operated SHR (iliolumbar blood vessels painted with phenol). This hypotensive response was produced by a 32 to 35% reduction in total peripheral resistance. At 3 to 5 hours and at 5 days, a major decrease in total peripheral resistance was produced by vasodilation in the kidneys and splanchnic organs. Acute urine output, sodium excretion, and plasma renin activity in response to a saline load were not different between sham-operated and denervated SHR. The decreased total peripheral resistance in denervated SHR may have been secondary to a decreased central sympathetic nerve activity revealed by a decreased maximum response to ganglionic blockade. The results suggest that a pathophysiological link may exist between the kidneys and splanchnic organs in genetic hypertension and that specific efferent antiadrenergic or antiafferent nerve therapy, or both, in the kidney may lead to substantial specific decreases not only in renal vascular resistance but also in splanchnic vascular resistance and total peripheral resistance.
对成年雄性自发性高血压大鼠(SHR)的肾脏进行去神经支配,并在去神经支配后3至5小时或5天测量全身和局部血流。与假手术的SHR(用苯酚涂抹髂腰血管)相比,在这两个时期内,去神经支配的SHR的动脉压降低了20%至27%。这种降压反应是由总外周阻力降低32%至35%引起的。在3至5小时和5天时,肾脏和内脏器官的血管舒张导致总外周阻力大幅下降。假手术和去神经支配的SHR对盐水负荷的急性尿量、钠排泄和血浆肾素活性没有差异。去神经支配的SHR总外周阻力降低可能继发于对神经节阻滞的最大反应降低所揭示的中枢交感神经活动降低。结果表明,在遗传性高血压中,肾脏和内脏器官之间可能存在病理生理联系,并且肾脏中的特定传出抗肾上腺素能或传入神经治疗,或两者兼而有之,可能不仅导致肾血管阻力大幅特异性降低,还会导致内脏血管阻力和总外周阻力大幅特异性降低。